Reeves-Viets J L, Yawn D H
Nurse Anesth. 1991 Dec;2(4):184-7.
A retrospective survey comparing blood and component usage during thoracoabdominal aortic reconstruction between patients receiving whole blood vs packed red cells was conducted. Volume of salvaged blood, usage of homologous blood components, and total homologous exposures were compared between eight patients who received only packed red blood cells and four patients who received whole blood for replacement of surgical losses, using a chi-square test for comparison. All variables demonstrated a decline among patients who received whole blood. The declines in homologous blood and plasma usage were statistically significant (P less than .05). The decline in platelet usage did not reach statistical significance. The decline in total homologous exposures approached statistical significance (P less than .1). The data suggest that use of whole blood for expected massive transfusion may reduce total blood-component requirements and total homologous exposures.
开展了一项回顾性调查，比较接受全血与浓缩红细胞的患者在胸腹主动脉重建术中的血液及成分使用情况。使用卡方检验对8例仅接受浓缩红细胞的患者和4例接受全血以补充手术失血的患者之间的回收血量、同源血液成分使用情况及总同源暴露量进行了比较。所有变量在接受全血的患者中均呈下降趋势。同源血液和血浆使用量的下降具有统计学意义（P<0.05）。血小板使用量的下降未达到统计学意义。总同源暴露量的下降接近统计学意义（P<0.1）。数据表明，预期大量输血时使用全血可能会减少总血液成分需求及总同源暴露量。
